IVAN FOSTER
Dependent on policy B05M000328
Claims
3
Attributed to this person
Charged
810.00
Total submitted
Denied
699.00
2 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | IVAN FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000328 |
| Date of birth | 29 Aug 2014 |
| Plan | BRONZE EPO |
| Covered from | 1 Jun 2025 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001379 | 19 Nov 2025 | 169.00 | CASCADE CARE | CARC 109 · COB | 169.00 |
| CLM0001378 | 29 Aug 2025 | 111.00 | CASCADE CARE | Not denied | — |
| CLM0001380 | 15 May 2025 | 530.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 530.00 |